Individual
KAY ANN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
2955 SW WANAMAKER DR, TOPEKA, KS 66614-5318
(785) 272-5566
(785) 272-5967
Mailing address
2955 SW WANAMAKER DR, TOPEKA, KS 66614-5318
(785) 272-5566
(785) 272-5967
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1366
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
69415
BLUE SHIELD OF KS
KS
Enumeration date
08/28/2006
Last updated
07/08/2007
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